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Breast augmentation, popularly known as a “boob job,” is the most popular plastic surgery procedure in the United States. Dr. Mark Crispin is a board-certified plastic surgeon with extensive training and over two decades of experience helping women in the Atlanta area achieve a natural, more youthful profile. During your initial consultation, he will discuss all of your options and help you determine which breast augmentation procedures are best for your body.
1. How do I get natural looking implants?
Here at Crispin Plastic Surgery, we are known for our natural look, so it is essential for your implants to fit perfectly with your anatomy. Dr. Crispin will take into consideration your body type, frame, and personal goals to determine the appropriate size range for your body.
2. What size implants should I choose?
We help patients navigate through this process by offering a variety of implants, such as Gummy Bear, Silicone, Teardrop, and Saline implants. Breast implants are measured in cubic centimeters (cc), rather than cup size. During your one-on-one consultation, Dr. Crispin focuses on your aesthetic goals and anatomy to find the appropriate size for you. All implants are available to try on during your consultation.
3. Which is the best implant type? Silicone or Saline?
Dr. Crispin understands that no two women have the same needs or desires, and thoroughly addresses the advantages of silicone and saline during your consultation.
Did you know the outer shells of all breast implants are made from silicone? Silicone breast implants are also filled with silicone gel. There are a number of benefits to silicone implants, making them the most popular choice among our patients.
Some advantages of silicone implants include:
If a silicone breast implant ruptures, the rupture may be difficult to detect. Implant ruptures often require an MRI to diagnose. For this reason, regular MRI scans are recommended for women with silicone breast implants.
Saline breast implants are filled with a sterile saltwater solution after they have been placed in the pocket.
Some advantages of saline implants include:
Saline implants do not look or feel as natural as silicone, and are more likely to ripple or wrinkle. Additionally, they are somewhat heavier and accentuate breast droop (breast ptosis). These patients are more prone to a complication called “double-bubble.”
Capsular contraction is a complication of both silicone and saline. (Learn More)
Your incision location will determine the prominence of your surgical scars. Dr. Crispin is known for his technical skills and achieving well-hidden, discrete scars. He carefully listens to patients and considers an individual’s physical characteristics before recommending an incision location.
There are three incision location options for breast augmentation:
1. Periareolar – around your nipple, hidden in the darker skin of your areola. The advantage of this incision is that it is less noticeable in pigmented skin and allows good control over implant placement. The disadvantage of this incision is a potentially higher rate of infection and capsular contracture.
2. Inframammary – underneath your breast, naturally hidden in the fold where your breast and chest meet. The advantage to this incision is excellent access to the implant pocket, therefore good symmetry, and a barely noticeable scar. The disadvantage is a scar that is visible if the breast is lifted in an upward direction while disrobed.
3. Transaxillary – through your armpit, naturally hidden in the folds of your underarm. This incision option eliminates any scarring on your breasts. However, this placement has the surgical disadvantage of being distal from the breast itself which makes it more difficult to control the implant pocket.
1. Above-Muscle Breast Implant Placement
Subglandular breast implant placement is beneath your breast tissue but above the muscle in your chest. The benefit of this placement is it minimizes impact to your chest muscle, thereby lessening your recovery period. This placement allows Dr. Crispin to utilize any of the incision options with any type of breast implant. It is an ideal option for athletic physiques and people who desire less post-surgery downtime.
Disadvantages of this implant placement option include:
2. Under-Muscle Breast Implant Placement
Submuscular breast implant placement is below the pectoral muscle. All incision options and implant types may be utilized. This placement may slightly increase recovery time due to the additional impact to your chest muscle. Most of our patients find the benefits of this placement far outweigh this minor inconvenience.
Benefits of submuscular placement include:
We will collectively decide which incision option is right for you depending on your preferences. Dr. Crispin takes great care to ensure your scars are minimal and well hidden. We also have excellent scar creams available to minimize your postoperative scarring.
Selecting a board-certified doctor with extensive experience in breast augmentation can help mitigate the symptoms often experienced in recovery. Beginning with your consultation, Dr. Crispin addresses how each surgical option will affect your recovery period and the measures you may take to ease the recovery. Our team will assist you throughout your entire recovery period to ensure your experience is safe and comfortable.
1) How often should I change out my breast implants?
A common myth is that implants need exchanging every 10 years. Implant exchange is only needed if you are unhappy with the size, have capsular contracture, your breasts have changed shape, or have migrated. (Learn More)
2) Will I lose sensation in my nipples?
Most women will regain normal nipple sensation within a few months of surgery. The nerve which gives sensation to the nipple travels through the outside (lateral) of the breast to get to the nipple. Those with larger implants are more likely to disturb the nerves and cause nipple insensitivity.
3) Can I breastfeed after my breast augmentation?
Breastfeeding can present challenges for many women, but implants generally do not affect milk production. It is very important to discuss future breastfeeding possibilities with Dr. Crispin so he may tailor the best placement and incisions for your personal needs.
I always wanted an hour-glass figure and now I have one thanks to Dr. Crispin. Dr. Crispin did my breasts and liposuction on my belly. He made me feel at ease to talk about all my concerns and he took the time to review all my options with me. The surgery and recovery were seamless thanks to him and his staff. I would, and have recommended him to many of my friends and have a growing list of the next things I would love him to work on ;).
I love my new body. Thanks.